DEPARTMENT OF SURGERY. 
133 
in question, and followed by well-grounded prognosis. A sur¬ 
geon’s ability to acquire a reputation depends upon the care ex¬ 
ercised in discriminating when to and when not to operate, and 
his proficiency in determining indications and contra-indica¬ 
tions. 
The success following this operation ( tapping the corned) 
will depend upon the operator’s ability to determine its indica¬ 
tion. Any condition that will cause intraocular pressure which 
is not accompanied by plastic exudates is an indication for pa¬ 
racentesis, and in this consideration of the operation only a 
few of the most common conditions that will produce such a 
disturbance, in addition to a few conditions that incidentally 
occur in connection with the diseases of the anterior part of the 
eye which may be benefited by such interference, will be men¬ 
tioned, with a brief review of each, in the order of their impor¬ 
tance, viz. : 
1. Staphyloma. 
2. Descemitis. 
3. Diseases of the iris. 
(a) Aplastic iritis. 
(A) Parenchymatous. 
4. Anomalies of anterior chamber : 
(a) Hydrophthalmos. 
(b) Intraocular tumors. 
(c) Hypopyon. 
( d ) Aplastic irido-cyclitis. 
5. Parasites in the anterior part of the eye : 
id) Filaria papillosa. 
( b) Cysticercus fistularis. 
{c) Pentastoma tamioides. 
(a) Filaria oculi. 
(6.) Diseases of cornea : 
(a) Pannus. 
(b) Ulceration of cornea. 
(c) Suppurative keratitis. 
(d) Superficial “ 
( e ) Vesicular u 
( f) Parenchymatous keratitis. 
{To be continued .) 
N. B.—All correspondence with Surgical Department 
should, after May 1, 1901, be addressed to E. A. M. or E. M.,* 
2127 Indiana Ave., Chicago, Ill. 
